Individual
COURTNEY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 TAYLOR DR, XENIA, OH 45385-7246
(937) 352-1269
Mailing address
4142 E US HIGHWAY 136, PITTSBORO, IN 46167-9046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
01/10/2017
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